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HomeMy WebLinkAboutMinutes 19890 EVANSTON MENTAL HEALTH BOARD MEETING MINUTES JANUARY 12, 1989 (Minutes approved) Members Present: Presiding: Staff: Community Representatives: I. Call To Order Jack Lynch, Marcia Nelson, Art Diers, Janice Jones, Alderman Gene Feldman, Carol Hones, Ann Graff, Bonn Greenspan Ann Graff, Chairman Jeanne Fox, Harvey Saver, Joy Workman, Nicole Romano Elaine Greenbaum, National Association for Down Syndrome; Jerry Gulley, SHORE; JoAnne Harford, Mental Health Associa- tion of Evanston; C. Louise Brown, Health Department; Kathy Brenniman, Law Department Ms. Graff called the meeting to order at 7:35 p.m. II. Introductions and Community Comments Members of the audience introduced themselves. Ms. Greenbaum indicated that she would have comments to make about an agenda item. III. Minutes of November 1, 1988 and November 5, 1988 Alderman Feldman moved and Mr. Greenspan seconded a motion to approve the minutes of November 1, 1988 as amended. Motion passed unanimously (8-0). Mr. Lynch moved and Alderman Feldman seconded a notion to accept the minutes of November 5, 1988 as written. Motion passed unanimously (8-0). IV. Long term Care Issues Long Term Care Ordinance Update and Issues. Kathy Brenniman, Assistant City Corporation Counsel, and C. Louise Brown, Director of the Health Department joined the Mental Health Board. Ms. Henes reviewed the Long Term Care (LTC) Committee's meeting earlier that evening with the City Manager. She reported that the Committee expressed concern to him about the -2- amount of time it was taking to revise the LTC Ordinance. It requested stronger enforcement of the current ordinance. The City Manager agreed to have the revisions in a form to be submitted to Human Services Committee by March 23, 1989. There was a general discussion about the need to maintain a strict schedule for the revisions. Ms. Graff requested that the LTC Committee and community representatives develop and submit other steps which could be taken to further the goal of increasing quality of care, in addition to revising the current Ordinance. Ms. Brenniman reviewed her memo which was prepared in response to questions which the Mental Health Board had raised. She also reviewed the general steps and legal options laid out in the Ordinance for revoking a license. In response to a question she said that additional research would need to be done to determine what happens to the profits of a facility if it is in receivership. Ms. Brown provided an update on the Saratoga. She discussed recent problems which had been encountered. She also indicated that the facility was not currently able to admit persons with MI or DD; other admissions could occur only with her prior approval. Update on Omnibus Budget Reconciliation Act (OBRA). Ms. Fox indicated that the RFP had just been published for the Pre Admission Screening (PAS) agencies to begin the implementation of OBRA. She said that the screening process has already created fewer discharges and over -crowding in 'K Unit' at Read because, as of January 1, 1989, people cannot be placed without having been screened. Ms. Fox also reported on the Residential Rehabilitation Facility (RRF) license category which was being developed. DMHDD will fund the programs in facilities. She said that the initial indications are that programming requirements for persons with MI will be increased, and the rate structure will also be raised. She talked about issues that would effect local facilities which might become RRF, but said that it was too early to know what the impact of a new licensing categgry will be locally. Mr. Saver reported that the State's initial Alternative Disposition Plan (ADP) to implement OBRA had just been received that morning. Staff will have an opportunity to participate in several meetings to discuss the ADP with DPA and DMHDD, and will review and comment on the plan before an amended version is submitted to the Health Care Finance Administration (HCFA) for final consideration. Discussion with Elaine Greenbaum, National Association for Down Svndrome. Ms. Greenbaum joined the Mental Health Board to express her concern about the Saratoga, where she volunteers as a Commission On Aging Advocate. She also said that, for the persons with DD in the facility, most did not need a nursing facility but, rather, a home. She reported that many did not -3- have medical or nursing needs but were placed at Saratoga after many State beds for DD persons were eliminated in the late 1970's and early 198O's. Ms. Greenbaum said that she did not believe that the 3rd floor at the Saratoga could ever be made into an appropriate place for 60 people to live and emphasized the need to plan for small living options based upon individual needs. She requested the Mental Health Board go on record as wanting to shut down that floor for individuals with DD at the Saratoga, and to start a plan to move these people from the facility. Mr. Greenspan moved and Ms. Hones seconded a motion that the Mental Health Board recommand, on the basis of many months of review of the Saratoga and based upon many months of the Saratoga's lack of compliance with Evanston's Long Term Care Ordinance, that the City revoke the license of the Saratoga on February 3, 1989, when its conditional licence expires. After discussion, the motion passed: 6 aye - 2 no. (Lynch, Nelson). Ms. Hones moved and Alderman Feldman seconded a motion that the Mental Health Board immediately begin planning and developing a mechanism for the relocation of individuals with DD from the Saratoga. Ms. Hones clarified that the motion was whether or not the Saratoga's license was revoked. Mr. Lynch indicated that the Mental Health Board would need to reorganize its priorities and eliminate some objectives for FY 89-90 if the motion was passed. The motion and the second were withdrawn. Staff was asked to begin developing information for the MHB about considerations which should be made in developing a plan, and steps which should be taken to relocate individuals with DD from the Saratoga. Alderman Feldman moved and Mr. Greenspan seconded a motion to go into closed session to discuss possible pending litigation. Motion passed unanimously 8 aye - 0 nay. Everyone other than the Mental Health Board staff and members left the room as the Mental Health Board convened into closed session at 9:40 p.m. The Mental Health Board reconvened at 10:05 p.m. V. FY 89-90 Committee and Board Assignments Ms. Fox reviewed the Mental Health Board's committee and agency liaison assignments and responsibilities. VI. Review and Comment on Community Integrated Living Arrangement (CILA) Proposals to DMHDD. Ms. Fox and Mr. Saver reviewed the proposals being submitted by Evanston agencies in response to DMHDD's request for proposals for CILA, family support and respite care. _4_ VII. Informational Items Alderman Feldman discussed the City's proposed Smoking Ordinance. He indicated that long term care facilities were likely to be exempted. He asked for input and led a discussion about the issues. Meeting adjourned at 10:25 p.m. Respectfully submitted, J nne M. Fox Executive Director EVANSTON MENTAL HEALTH BOARD DECISIONS OF MEETING JANUARY 12 1989 1. The Board approved a recommendation, on the basis of many months of review of the Saratoga, and based upon many months of the Saratoga's lack of compliance with the Evanston Long Term Care Ordinance, That the City revoke the license of the Saratoga on February 3, 1989. EVANSTON MENTAL HEALTH BOARD MEETING MINUTES FEBRUARY 9, 1989 (Minutes approved) Members Present: Jnck Lynch, Janice Jones, Art Diers, Carol Hones, Bonn Greenspan, Ellen Browne, Ann Graff, Ald. Gene Feldman Presiding: Ann Graff, Chairperson Staff: Jeanne Fox, Harvey Saver, Nicole Romano, Joy Workman Community Representatives: Kate Jeszko, SHORE; Marge Sondler, Mental Health Association of Evanston I. Call To Order Ms. Graff called the meeting to order at 7:30 p.m. She indicated that there would be a change in the order of the agenda. II. Introductions and Community Comments Members of the audience were asked to introduce themselves. No comments were given. III. Minutes of Januury 12, 1989 Ms. Jones moved and Mr. Greenspan _econded a motion to approve the minutes of January 12, 1989, as corrected. Motion passed unanimously (7-0). IV. Review of Policy Guidelines for Contracts Ms. Jones discussed her review of the Contract Policy Guidelines. Mr. Lynch roved and Mr. Diers seconded a motion to reaffirm and adopt the Contract Policy Guidelines for Purchase Service Agreements for the period March 1, 1989 - February 28, 1990. Motion passed unanimously (7-0). V. Consideration of Amendments to the Evanston Fair Housing Ordinance Ms. Workman reviewed her memo and led a discussion about the Federal Fair Housing Amendments Act. Mr. Diers roved and Ms. Browne seconded a motion to recommend to the Human Relations Commission (HRC) that they amend the Evanston Fair Housing Ordinance to include the Federal definition of 'handicapped' as a category protected against discrimination and to add 'handicapped" to all sections of the Ordinance, and to assist the HRC in advocating for these changes as necessary. Motion II'1� I �I� 'I�RI'I'II��'�;II III I� II I IIII I� II II itI �I II1'II ��' I� I � II' Ili I I III i I 1 I � IIII ''� I� IIII � ���I I u iill►IP i��l I� q' i�ll�l� I�TI� I�IIII� II� q II I�i� lii I ii III IIII i� II IIII �I� �II11�1 i� �'i III II I� �� �� II IIII I��I -2- passed unanimously (7-0). (Alderman Feldman joined the meeting at 7:50 p.m.) VI. Report of UBP Evaluation Committee Ms. Browne discussed the first meeting of the UBP Task Force. She indicated that UBP staff were asked to develop information and to organize and review reports currently available, about Evanston human service needs. The Task Force will separate the community planning function from the review and organization of the budgeting process. Ms. Browne and Ms. Hones represent the Mental Health Board on the UBP Task Force. VII. Informational Items >> The Mental Health Board discussed a letter from the Department of Insurance on the subject of the Com- prehensive Health Insurance program. Concerns were expressed about whether mental illness was included in the CHIPS legislation. Ms. Romano will follow up and report back to the Mental Health Board about its questions. >> Mr. Lynch commented on the report of the Hogele33 Case Manager. He raised concerns about the number and percentage of shelter guests who were not from Evanston or related to Evanston. >> Ms. Hones complimented staff on their review and comment of the State's Alternative Disposition Plan for OBRA. Alderman Feldman moved and Mr. Greenspan seconded a motion that the Mental Health Board convene in executive session because of pending litigation. Notion passed unanimously (8-0). The Mental Health Board convened in executive session at 8:00 P.M. The Mental Health Board reconvened at 8:50 p.m. Ms_ Jones moved and Mr. Greenspan seconded a notion that the Mental Health Boord convene in executive session to discuss personnel matters. Motion passed unanimously (8-0). The Mental Health Board convened in executive session at 9:00 p.m. The Mental Health Board reconvened at 10:10 p.m. -3- VIII. Adjournment The Mental Health Board adjourned at 10:15 p.m. Respectfully submitted, ,Yeianne M. Fox ! ' EVANSTON MENTAL HEALTH BOARD MEETING DECISIONS OF MEETING FEBRUARY 9, 1989 1. The Mental Health Board reaffirmed and adopted the Contract Policy Guidelines for Purchase Service Agreements for March 1, 1989 - February 28, 1990. 2. The Mental Health Board recommended to the Human Relations Commission (HRC) that they amend the Evanston Fair Housing Ordinance to include the Federal definition of 'handi- capped" as a category protected against discrimination and to add 'handicapped` to all sections of the Ordinance, and to assist the HRC in advocating for these changes as necessary. EVANSTON MENTAL HEALTH BOARD MEETING MINUTES MARCH 9, 1989 (Minutes approved) Members Present: Jack Lynch, Art Diers, Carol Hones, Ann Graff, Marcia Nelson, Ald. Gene Feldman Presiding: Ann Graff, Chairperson Staff: Jeanne Fox, Harvey Saver, Nicole Romano, Joy Workman Community Representatives: Jo Anne Harford, Mental Health Association of Evanston Members of the Board (Graff, Nelson, Lynch, and Hones) met from 6:30 p.m. - 7:30 p.m. to hear a presentation by staff and to discuss the Illinois Department of Mental Health and De- velopmental Disabilities (DMHDD) proposed plan for the Pre- admission Screening Process for mentally ill (MI) and develop- mentally disabled (DD) persons seeking residential services. Staff presented the following information: The Illinois Department of Mental Health and Developmental Disabilities (DMHDD) is seeking to establish agents to conduct preadmission screenings (PAS) for all persons with mental disabilities (MI and. DD) who are seeking non -nursing residential services. Toward this and the DMHDD has sent out a request for a proposal (RFP). Its due date is April 7, 1989. The DMHDD will develop another RFP to determine the PAS agent to conduct assessments of all residents currently living in long terra care facilities. This assessment is called the Annual Resident Review Process (ARR). As a community we have the most residential slots and services on the Northshore. The PAS agent, according to the RFP, will do comprehensive assessments of persons per standardized guide- lines, be the entity which will authorize admission to different types of residential slots and will have the ability to authorize the funding for the development of new residential slots. In addition, the PAS agent will have the option to also become the ARR agent. Therefore, as a community we need to be very involved with the PAS agent which will act as a central intake service for our residential services and has the potential to assist agencies to develop services by authorizing monies for new services. -2- Ms. Fox stated that representatives of the Evanston Network and staff of Mental Health Board have been meeting to discuss this RFP and its affect on Evanston. Also they have been meeting with representatives of agencies on the Northshore to determine if Evanston should be a part of a consortium or should independently submit a proposal. The DMHDD AFP requires that the population base for the PAS grant to be at least 150,000. This requirement makes Evanston ineligible to be considered independently as a PAS agent. Art Diers joined the discussion at 7:30 p.m. I. Call To Order With a quorum present, Ms. Graff called to order the March meeting of the Mental Health Board at 7:40 p.m. II. Introduction and Cow nity Comments Ms. JoAnne Harford of the Mental Health Association of Evanston introduced herself. III. Preadtission Screening Process (PAS) for Persons who are Mentally III (MI) or Developmentally Disabled (DO). Ms. Graff asked the Board to continue to discuss the PAS agent process. Board members stated the following concerns: a lack of residential resources in other communities; the anticipated need to find housing for a significant number of mentally ill and developmentally disabled residents currently living in long term care (LTC) facilities who will no longer be eligible to stay in LTC facilities due to new federal regulations; expansion of Evanston services due to incentives of new monies with a potential consequence of burden for the community; the need to join with other communities in order to have a 'voice' in policy implementation with DMHDD; the feeling of being 'boxed in' without alternatives; the lack of adequate community case management services to deal with MI and DD persons waiting for services to be developed; the lack of concern by DMHDD for the impact of this policy on the community. (Alderman Gene Feldman joined the Board at 7:50 p.m.) After discussing these concerns and issues, Jack Lynch wade the following motion with a second by Marcia Nelson: The Mental Health Board agrees to write a letter of support for Community Alternatives Unlimited (CAU) to be the PAS agent for Evanston. It is understood that Evanston will be part of the modified Region 2 consortium for which CAU will be the PAS agent. Although the Board supports CAU as tho PAS agent for Evanston, its concerns about the PAS process and the potential impact on Evanston must be conveyed to DMHDD. It reservos the -3- right to review this decision as new information becomes available. The motion passed unanimously (6-0). IV. Minutes of February 9, 1989 Jack Lynch moved and Marcia Nelson seconded a motion to approve the minutes as corrected. Motion passed unanimously (6-0). V. Report of Funding Guidelines Committee Jack Lynch reviewed the Board's evaluation of the 1988-89 Funding Guidelines. He stated that the Funding Guidelines Committee is recommending that no changes be made in the Funding Guidelines and that these funding guidelines be used for the 1990-91 allocation process. Art Diers moved and Marcia Nelson seconded a motion to accept the Funding Guidelines Committee recommendations. The motion passed unanimously (6-0). VI. Review and Comment on the First Set of Revisions to the Evanston Long Term Care Ordinance (ELTCO). Ms. Graff asked Carol Hones, Chairperson of the Mental Health Board's LTC Committee to give a Committee report on the status and process for the Mental Health Board's review and com ment to this draft and to state the timetable for submission of this draft to City Council. Ms. Hones reviewed with the Board a brief history of the development of the revisions to the ELTCO. This draft is the result of input from the Mental Health Board, the Commission On Aging, the Health Department and the Legal Department. This draft is the complete Ordinance but does not contain all the potential changes; e.g., additional staffing. (Those second set of amendments will be coming, hopefully by July, 1989). This draft was sent to the Mental Health Board, Commission On Aging and providers for toeir review and comment which is to be submitted by March 10, 1989. The LTC Committee of the Board has spent six hours reviewing this draft and have recommended changes; however, none of the changes are of a substantive nature. This draft, after some revisions, wsli be sent to Human Services Committee for its review on March 27, 1989. Mr. Lynch noted that cost impact statement for the City or providers is not available. Alderman Feldman requested staff to: consider sending the Ordinance to the Human Services Committee a week early to allow for time to thoroughly read this document; prepare a historical memo of the development of these revisions and rationale for changes. Mr. Lynch moved with a second by Art Diers to accept the draft Ordinance as amended and to empower the LTC Committee of the Mental Health Board to act on behalf of the Mental Health -4-- Board as necessary to submit to the Human Services Committee and advocate for the proposed revisions to the ELTOO. The motion passed unanimously (6-0). VIX. Review of Proposed State Residential Rehabilitation Facilities (RRF) Standards. Ms. Fox reviewed with the Board the definition, funding and purpose of RRF's. Certain facilities which serve primarily (50% or more) individuals with a diagnosis of mental illness will no longer be eligible to receive funding through Public Aid (Medicaid) from the Federal Government. These facilities formerly discussed as Institute of Mental Disease (IMDS) are now being called Resi- dential Rehabilitation Facilities (RRF) by the Illinois Depart- ment of Public Health (IOPH) and DMHDD. Albany House and Raintree have been designated as RRFs. The funding for these facilities, which are considered non -nursing facilities, will come totally from the State general revenue. DMHDD will be the (under and monitor of these facilities. The Illinois Department of Public Health has proposed standards to govern this new category of care by which these facilities will be licensed. These proposed standards are minimum standards and are inadequate to provide adequate care for this population. These proposed standards have been reviewed by Evanston Community Mental Health service providers and staff of the Department of Health and Human Services. All agreed that we cannot support these standards for the following reasons: 1. The lack of definition of the population to be served; 2. The lack of provision for an adequate number of trained staff to meet the needs of the residents, particularly nursing staff; 3. The new Psychosocial. Program Assistant staff position is only required to be 16 years of age and to have only 120 hours of training. This position based on these qualifications should not be responsible for carrying out a psychosocial program for the MI residents; 4. The development of these standards without knowledge of the rate at which these facilities will be funded, and how they will be monitored. Ms. Fox stated she had testified at a IDPH public hearing on these standards on 3-9-89 regarding these concerns. After a discussion regarding these standards, Ms. Graff requested that the State consider limiting the number of residents in a single facility. Marcia Nelson moved with a second by Gene Feldman that a letter be written to the Illinois Department of Public Health and to the Administrative Rules Committee stating the Board's concerns and recommended changes for the proposed RRF ordinance. The motion passed unanimously (6-O). _5_ IX. Informational Items Staff gave the following report: 1. A Youth Services Forum will be held on Saturday, April 15, 1989. 2. The Board is one of the sponsors of a forum on 'The State of the State: Issues and Concerns about Developmental Disabilities`, to be held on Wednesday, March 22, 1989, 7:30 p.m. at the Evanston Civic Center. 3. Commission On Aging will be holding a forum on Long Term Care on Saturday, May 20, 1989. The Commission On Aging Long Term Care Committee is also beginning to study the issue of how to determine and enhance the Quality care in long term care facilities. 4. A communication was received from the Human Relations Commission in response to the Board's recommendation to amend the Evanston Fair Housing Ordinance. The Commission thanked the Board for its recommendations and stated its intent to amend the ordinance as soon as possible. 5. The Community Coordinated Child Care (4C's) budget hearings for its day care centers which provide services for guideline children, will be held in the next two weeks. Art Diers and Jeanne Fox will be representing the Board and City at these hearings. Ms. Graff asked Board members to check their calendars to determine if they can attend any of the above mentioned meetings. The meeting adjourned at 8:50 p.m. Respectfully submitted, i J nne M. Fox MENTAL HEALTH BOARD MEETING DECISIONS MARCH 9, 1989 1. The Mental Health Board agrees to support Community Alternatives Unlimited as the preadmission Screening Agent for Evanston and to participate in the modified Region 2 Consortium. 2. The Mental Health Board adopted its funding guidelines for the FY 90-91 allocation process. 3. The mental Health Board accepted the lst set of draft standards for the Evanston Long Term Care Ordinance to be considered by the Human Services Committee on 3-27-89. 4. The Mental Health Board requested that a letter be written to the Illinois Department of Public Health and Administrative Rules Committee stating the Board's concerns and recommended changes for the proposed RRF Ordinance. EVANSTON MENTAL HEALTH BOARD MEETING MINUTES APRIL 13, 1989 (Minutes approved) Members Present: Presiding: Staff: Community Representatives: I. Call to Order Jack Lynch, Art Diers, Ann Graff, Janice Jones, Bonn Greenspan, Carol Hones, Ellen Browns, Alderman Gene Feldman Ann Graff, Chairperson Jeanne Fox, Harvey Saver, Nicole Romano, Joy workman Joanne Hartford (Mental Health Association of Evanston); Joanell Voigt, Jack Ginsburg (Community Alternatives Unlimited); Helene Lome (First Step); C. Louise Brown, Stuart Sikes (Health Department) Ms. Graff called the meeting to order at 7:40 p.m. II. Introductions and Community Comments Members of the audience introduced themselves. No comments were given. III. Minutes of March 9, 1989 Ms. Jones moved and Mr. Lynch seconded a motion to approve the minutes of March 9, 1989 as corrected. Motion passed unanimously (7-0). IV. Preadmission Screening Process for the Evanston Community Ms. Fox introduced Joanell Voigt, Executive Director of Community Alternatives Unlimited (CAU). She indicated that CAU would be the agency performing the Preadmission Screening (PAS) function for the Evanston community as a result of Evanston's participation in the Modified Region II PAS Consortium. Ms. Voigt described the pathways through which a person would be processed if they are seeking services from the screening unit. She also described the systems of assessment and service planning which are being developed. She indicated that she was particularly concerned with how to interconnect the PAS function with the role of existing service providers and how to leverage more resources to implement service plans which are developed. Ms. Voigt said that her staff will travel to wherever the person is located to do functional assessments. . ti -2- The primary targets for the PAS unit will be adults who are severely disabled, and children who are severely medically impaired and needing a skilled pediatric level of programming. The assessments will more adequately describe an individual's needs around which to plan services. After a Service Plan is developed and is agreed to by a client, the PAS unit will help locate and refer him/her to appropriate service providers. In response to questions, Ms. Voigt responded » based upon CAU's experience providing case management, it will take 10 hours for a modified assessment and an additional 5 hours for a comprehensive assessment. The PAS unit will have 10 working days after a recipient requests assistance to complete the entire assessment. » All of the services provided by PAS will be funded by the State, which will be reimbursed by the Federal Government through the Medicaid match. This is for people who are Medicaid eligible. » This type of assessment is currently being done in a fragmented way only. PAS should improve the planning for services, and provide a process for gaining access to services which will apply to all eligible individuals. » There will be an average of $20,000/year/client available for services, which should be attractive for service providers. Ms. Voigt indicated that the PAS Consortium will be working with Evanston to resolve some of the local community issues raised by the Mental Health Board, i.e., dispersement and distribution of services, good community services in place to which individuals can be referred. The PAS process will be able to identify where services are not available. The PAS unit will be able to direct resources to where there is a need for services. While PAS cannot control the development of services, the State's plan for the implementation of PAS will offer incentives by having program funds tied to an individual's service plan and by making available flexible housing arrangements. Ms. Fox discussed provisions in the PAS assurances which will provide adequate and appropriate pathways through which clients will be able to gain access to services. She said that the PAS process will also provide a basis for longitudinal tracking and developing a data base for all clients. This should provide a more complete picture of where there are gaps in services. In response to a question, Ms. Fox said that local agencies will not accept any referrals for which there are not adequate resources and for which appropriate services are not available. -3- V. Uplementation of OKRA Ms. Fox reported that the State has decided not to pursue the classification for a Residential Rehabilitation Facility (RRF). Instead, facilities such as Raintree and Albany House will be classified Intermediate Care Facility/Mental Illness (ICF/MI). This will mean that facilities will be able to maintain their current reimbursement rate and their Certificate of Need, and will be able to maintain a higher staffing level. However, specialized staffing for rehabilitation needs will not be required, as with RRF. Local long term care facilities will be directed to perform a Level I screening for all their residents to determine if they have a developmental disability, mental illness or cognitive impairment and to establish how long they have been in a nursing home. This information should be submitted by June 1. PAS agencies will then perform the Annual Resident Review (ARR) for individuals in these facilities. CAU, as the local PAS agency, will have the first option to do the ARR for Albany House and Saratoga. Ms. Fox discussed Community Integrated Living Arrangements (CILA) and Preferred Providers. DMH is beginning to identify these agencies, which will be responsible for accepting individuals with severe mental illness and/or developmental disabilities for services with a no -decline option . The agencies will be responsible for the implementation of an individual's entire care plan through all the requisite processes. Ms. Fox indicated that local mental health agencies are not planning to be Preferred Providers, because of the no --decline option. VI. Executive Session Ms. Jones moved and Ms. Browne seconded a motion to go into Executive Session to discuss pending litigation. Motion passed unanimously (7-0). The Mental Health Board convened into Executive Session at 8:45 p.m. (Ald. Gene Feldman joined the meeting at 8:50 p.m.,. The Mental Health Board reconvened at 10:05 p.m. (Mr. Lynch and Ms. Jones left the meeting at 10:05 p.m.). VII. Unified Budgeting Task Force Ms. Hones reported on the progress of the U8P Task Force (TF). She indicated that UBP staff have identified a number of reports, needs assessments and analyses of programs which are currently available. -4-- Each TF member assumed responsibility for studying a particular service population and reviewing and summarizing the relevant available information. Members will also be visiting agencies which provide services for that population. This will be used as a basis for considering community planning issues. VIII. Long Term Care Ordinance Update Ald. Feldman reported on the progress of the revised LTC Ordinance through the Human Services Committee (HSC) and discussed its process for consideration by City Council. He complimented the LTC Committee on the process they utilized in presenting the revisions to HSC and for how they dealt with concerns which were raised by LTC providers. IX. Informational Items 4 C's Budqet Review Session. Mr. Diers reported on 4 C's budget hearings for day care centers. He expressed concern about the ambiguity of the role of other funders in the hearings. Ms. Fox reported that a letter was being sent by the UBP funders requesting clarification about their roles in these hearings and about issues they had raised. Mr. Diers said that what was being done in day care locally was impressive. DO Community Forum. Ms. Browne reported on the forum addressing DO issues in the community, which the Mental Health Board had organized and co —sponsored with HADS, SHORE, CAU and Park School PTA. She also discussed concerns raised by parents of consumers. X. New Business Ms. Graff appointed Ms. Browne and Ms. Nelson to be the Nominating Committe. Meeting adjourned at 10:25 p.m. Respectfully submitted, ,Jeanne M. Fox EVANSTON MENTAL HEALTH BOARD MEETING MINUTES MAY 111 1989 (Minutes approved) Members Present: Presiding: Staff: Community Representatives: I. Call to Order Jack Lynch, Ann Graff, Janice Jones, Benn Greenspan, Carol Hones, Alderman Gene Feldman, Marcia Nelson Ann Graff, Chairperson Jeanne Fox, Harvey Saver, Nicole Romano, Joy Workman Maryann LoRusso, Xiomara M. Lopez, Sara Pullan (Madill School of Journalism); JoAnne Hartford (Mental Health Association of Evanston); Paula Crismond, Mildred Bredberg (Department of Recreation) Ms. Graff called the meeting to order at 7:35 p.m. II. Introductions and Community Comments Members of the audience introduced themselves, No comments were given. III. Minutes of April 13, 1989 Ms. Jones moved and Ms. Hanes seconded a motion to approve the minutes of April 13, 1989 as presented. Motion passed unanimously (7-0). IV. Special Recreation Programs for Mentally Ill and Developmentally Disabled Persons The Board was Joined by Paula Crismond, Supervisor of Arts and Special Services, and Mildred Bredberg, Special Recreation Supervisor, for the Evanston Department of Recreation. Ms. Bredberg reported that the City's special recreation program was established in 1978. The program has grown to include one program coordinator, 16 part-time staff, including therapeutic arts and recreation, and, 61 summer staff, including some teachers certified in learning disabilities and in trainable mental handicaps. They also have 14 volunteers who provide 2700 hours of programming; some are provided and trained by the Mental Health Association of Evanston. -2- Ms. Bredberg described the range of programs which are offered through Special Recreation. She said that they have been able to expand their services by working cooperatively with social service organizations, e.g., provide transportation for ACORN's program events. While they originally provided programs for 37 children, they now serve more than 300 children, teens and adults in the community who have a wide range of disabling conditions. Their approach is to serve people without labelling them as participants with a disability and to individualize the approach based upon needs. Fee assistance is provided for special recreation participants on the same basis as for any other people from the community. Mainstreaming is provided on a case -by -case basis, based upon the wishes and capabilities of the individuals and their families. With District #65 they provide cooperative day care programs in the summer. Ms. Crismond reported on the Department's arts and music projects. She discussed the Very Special Arts festival which will be produced in the fall. It is a national program which spun off of Special Olympics. It will be done in partnership with the school districts for artists with mental and physical challenges. Ms. Crismond indicated that they would be looking for task volunteers to help with the event. She asked members of the Board to consider volunteering 4 hours the day of the event. In response to questions Ms. Crismond and Ms. Bredberg provided the following: > Saratoga and Albany House have participated in the bowling programs in limited numbers; > The population in special recreation programs is getting older, generally teens and young adults; > People from SHORE's residential programs participate in special recreation independently; > With older populations, in the next 5 years they will need to consider more evening and weekend programs; > Special Recreation tries not to have a special facility identified for the disabled. They use the City's recreation facilities, National College of Education, theaters, restaurants, bowling alleys, etc. V. Committee Reports Nominating Committee. Ms. Nelson reported on the Committee's work. She submitted the slate of Ann Graff, Chairperson and Jack Lynch, Vice Chairperson for the year beginning July 1, 1989. The nominations will be voted upon at the June meeting. -3- Funding Guidelines Committee. Mr. Lynch reported that no comments were received from agencies about the proposed Funding Guidelines. Mr. Lynch moved and Ms. Nelson seconded a motion to accept the Funding Guidelines Committee recommendation that the Funding Guidelines be adopted with no changes for the 1989 UBP (FY 90-91) allocation process. Motion passed unanimously (7-O). Bylaws Review Committee. Ms. Graff appointed herself and Mr. Lynch to a Committee to provide the annual review of the Bylaws. They will report to the Board in June. Long Term Care Committee. Ms. Hones reported that Part I of the revisions to the Long Term Care Ordinance would be presented to Human Services Committee on May 22 with the amendments which were agreed to. The plan is to have the revised ordinance introduced to City Council the same evening. It was agreed that the Mental Health Board should send a special advocacy letter to each Alderman which explains the changes in the ordinance, why the Mental Health Board got involved, and the philosophical context of the Mental Health Board's proposed revisions. Ms. Hones said the target for completion of Part II of the ordinance revisions, regarding staffing and programming, was late July. She reported that the Long Term Care Committee has discussed incentive strategies and the possible use of the media to provide education about long term care issues. Ms. Fox said that this was the time to keep up pressure for changes effecting the mental health populations. Zoning Review Committee. Ms. Fox said that the Committee will review zoning issues for group homes and for the proposed definition of family. The City's attorney will be providing a legal opinion for review on these subjects, and the City Clerk's office is surveying eleven communities for their definitions of family. There will be a report for the June Mental Health Board meeting. VI. Long Term Care Issues Update Ms. Fox provided information about the receivers appointed to the Saratoga and Albany House. Staff met with them to discuss their plans and operations. Ms. Fox expressed concern that none of the receivers had knowledge of or exaerience with mental illness. Mr. Saver discussed the day services being provided by SHORE and Augustana for Saratoga. He indicated that SHORE had originally intended to terminate services as a result of a large check returned because of insufficient funds in the Noodstock group's bank account. There are also unresolved issues about responsibility for 3 months outstanding payment. As a result of an interim agreement with the receivers, SHORE has agreed to continue day programming for Saratoga contingent upon the receipt of payment for services within 5 days of `heir sub— -4- mission of the bill to the facility. There are a number of problems about payment for previously delivered services which will not be resolved until the court which appointed the receivers untangles the details of Woodstock's financial problems. In response to questions, Ms. Fox described the process which is being developed to implement the Annual Resident Review at Saratoga and Albany House. Community Alternatives Unlimited will manage the assessment process for the Region II PAS Consortium utilizing professionals on contracts; DMH will fund the assessments. The Saratoga will be the first facility in the State to be assessed. The Mental Health Board's participation in the Consortium will enable us to give direction to the quality standards which are developed. The Board discussed their concerns with the potentially high cost projected for the assessments, especially if there is not adequate funding available to provide the services which are identified in the assessments. Ms. Hones moved and Mr. Greenspan seconded a motion to send letters to Federal legislators expressing concern about the Health Care Finance Administration not yet having developed standards and guidelines for the PASARR process, and to State legislators expressing concern about a lack of money being allocated to develop and implement services for the needs identified in the assessment process. Motion passed unani- mously (7-0). VII. Legislation Ms. Romano discussed the status of bills and legislative issues being monitored related to mental health, substance abuse, CILA and OBRA. She also reviewed staff's recommendations for advocacy endorsements by the Mental Health Board. Mr. Greenspan :coved and Ms. Jones seconded a motion to support HB 2 (Preston), that directs school districts to provide substance abuse prevention and education for grades K-8. Motion passed unanimously (7-0). Alderman Feldman moved and Ms. Hones seconded a motion to support legislation which would initiate a separate tax on tobacco and/or would increase state liquor license fees in order to fund prevention and treatment services. Motion passed unanimously (7-0). Mr. Lynch moved and Alderman Feldman seconded a motion to support the omnibus bill which includes the DD Bill of Rights (previously HB 69) and the Home Based Support Services Law and the Family Assistance Law (previously HB 555). Motion passed unanimously (7-0). VIII. Informational Items -- Ms. Fox indicated that this was the SSA students' -5- last meeting with the Board. She commended Ms. Romano and Ms. Workman for their excellent work through the year . She said that it was through their efforts that staff was able to expand the number of objectives and activities they were able to accomplish. The Board expressed their gratitude to Joy and Nicole for their assistance and the quality of their work. Ms. Fox highlighted the letter from 4C's about their budget review of day care centers. She indicated that the United Way was doing an in-depth study of day care in Evanston, and would be prepared with it for UBP in the fall. Ms. Fox reported that a meeting would be held of the UBP funders with ACORN to discuss the large increase in the number of individuals they are serving. The meeting will be May 30 at 7:30 p.m., and Ann Graff will represent the Board. Ms. Henes said she would be attending the Commission On Aging's Long Term Care Conference. Mr. Greenspan, Ms. Jones and Alderman Feldman said they would be participating in the Mental Health Association's "Walk for Mental Health.' Ms. Jones reported that she would not be requesting reappointment to the Board, and that this would be her last meeting. She said that her work schedule in her new position made it difficult to perform all of her responsibilities on the Board. Ms. Graff moved and Mr. Lynch seconded a motion to adopt a resolution expressing the Board's appreciation and gratitude for Janice Jones' 4 years of service to the Mental Health Board. Passed by consensus. Meeting adjourned at 9:40 p.m. Respectfully submitted, J nne M. Fox EVANSTON MENTAL HEALTH BOARD DECISIONS OF MEETING MAY 11, 1989 1. The minutes of the April 13, 1989 meeting were approved as presented. 2. The Mental Health Board accepted the Funding Guidelines Committee recommendation that the Funding Guidelines for the 1989 UBP (FY90-91) allocation process be adopted with no changes. 3. The Mental Health Board agreed to send advocacy letters to Federal legislators expressing concern that HOFA had not yet developed standards and guidelines for the PASARR process, and to State legislators expressing concern about a lack of sufficient funds allocated for the needs identified in the assessment process. 4. The Mental Health Board agreed to support the following bills. (a) HB2 (Preston), that directs school districts to provide substance abuse prevention and education to grades K-8. (b) A separate tax on tobacco and/or an increase an state liquor license fees in order to fund prevention and treat- ment services. (c) Omnibus legislation to include the UD Bill of Rights (previously HB 69), and the Home Based Support Sarvices Law and the Family Assistance Law (previously HS 555). 5. The Mental Health Board adopted a resolution expressing appreciation and gratitude to Janice Jones for her 4 years service on the Mental Health Board. LM EVANSTON MENTAL HEALTH BOARD MEETING MINUTES JUNE 8, 1989 (Minutes recorded, not yet approved) Members Present: Jack Lynch, Art Diers, Carol Hones, Marcia Nelson, Ald. Gene Feldman, Senn Greenspan Presiding: Jack Lynch, Vice Chairperson Staff: Jeanne Fox, Harvey Saver Community Representatives: Marge Sondler (Mental Health Association of Evanston), Janice Jones, Bob Ahlberg (Evanston Building and Zoning Department) I. CALL TO ORDER With a quorum present, Mr. Lynch called to order the June meeting of the Mental Health Board (MHB) at 7:35 p.m. II. INTRODUCTION AND COMMUNITY COMMENTS Community representatives introduced themselves. Marge Sondler, Executive Director of the Mental Health Association of Evanston, thanked the members of the MHB who had participated in the Walk for Mental Health in May, and thanked the MHB for their support for the event. III. RECEPTION FOR DEPARTING BOARD MEMBER The members of the MHB expressed their appreciation to Janice Jones for her 4 years of involvement on the Mental Health Board. Mr. Lynch expressed the following: "Please join with us as we salute Janice Jones as she resigns from the Mental Health Board (MHB) after -Z years of distinguished service. Janice Jones joined the MHB in June, 19a5. Janice 5 contributions to the MHB over her four years of tenure have been many'. She serve❑ on the Personnel Comm -,'zee for two years, and the Contract Policy Guidelines Committee. She participated in the first Funding Guidelines Committee and worked on the revisions to the Bylaws. Janice always read her MHB packets and took her responsibility as a MHB member seriously. She kept her own counsel and voted accordingly. She attended countless Unified Budgeting Panel meetings -- you could always count on Janice. If she said she would do something, it was done in a thoroughly professional manner. Janice, you will be missed. But the good news is no Unified Budget meetings this I . 0 Totes of June 8, 1989 Mental Health Board Meeting PAGE -2-- year, We thank you for your four years of dedicated service to the citizens of Evanston on behalf of persons who are mentally ill, developmentally disabled or substance abusers. This paper weight is a token which expresses our thoughts, 'Thanks - Evanston Mental Health Board 1985-1989. " IV. MINUTES OF MAY 1 V, 1989 Mr. Greenspan moved and Ms. Henes seconded a motion to approve the minutes of the May 11, 1989 meeting as corrected. Motion passed unanimously (6-0). V. ELECTION OF OFFICERS FOR 1989-90 Ms. Nelson presented the recommendations of the Nominating Committee for officers to serve from July 1, 1989-June 30, 1990. Ms. Nelson moved and Ms Henes seconded a motion to elect Ann Graff as Chairperson and Jack Lynch as Vice Chairperson. The motion passed unanimously (6-0). VI. BYLAWS COMMITTEE REPORT Mr. Lynch reported on the recommendations of the Bylaws Review Committee. Mr. Diers moveed and Ms. Nelson seconded a motion to amend Bylaws Article IV, Membership, Section 2, Qualification of Members, Part (b) to read '...and Developmental Disabilities, the Illinois Department of Alcoholism and Substance Abuse, the Illinois Department of Children and Familv Services, or any agency...' (changes underlined). Motion approved unanimously (6-0). Mr. Diers moved and Ms. Nelson seconded a motion to amend Bylaws Article V, Section 2, Election of Officers by deleting 'On or before July 1 of each year, the Board shall elect the Chairperson and Vice -Chairperson,' and adding the following: (a) In April of each year the Nominating Committee, with th least two members, to serve a officers may not serve on the (b) The Nominating Committee candidates for each office. May meeting. Chairperson shall appoint a e approval of the Board, of term of one year. Current Nominating Committee. shall prepare a slate of The slate shall be presented at at the (c) Additional nominations may be made by any Board member at the June meeting, with the consent of the nominee prior to any vote. (d) Board members shall elect officers by voting upon the slate of candidates and any additional nominees at the June meeting. Motion passed unanimously (6--0), is. . Notes of June 8, 1989 Mental Health Board Meeting PAGE —3— VI. ZONING POLICIES COMMITTEE REPORT Bob Ahlberg, Zoning Planner for the Evanston Building and Zoning Department, joined the Board. Mr. Lynch reported on the work of the Zoning Policies Committee, and indicated that the Committee had a number of questions about the recommendations being developed by the consultants to the City's Committee on Zoning Revisions. Mr. Ahlberg discussed that committee's work. He said that since the City's zoning policies were originally adopted, more than 150 amendments had been enacted. As a result, the policies did not all fit together neatly and were awkward for day—to—day use. The Committee on Zoning Revisions was directed to develop a comprehensive set of revisions. This was originally expected to be a 2—year process, however the Committee is very far behind in its work. Mr. Ahlberg reported that City Council had reviewed the Zoning Policy Report. While there was no consensus by Council, feedback to the Committee was that the report was on the right track. Mr. Ahlberg indicated that the definition of family and the group home issues in the report would both be effected by the recently enacted Federal Fair Housing Act Amendments (FHAA). The Committee is currently waiting for' a legal opinion from the City Attorney about how these amendments will have an impact on the Zoning Ordinance revisions. fl Mr. Ahlberg discussed the 3 definitions of family included in the Zoning Ordinance. These definitions limit the number of individuals who can live in a single dwelling unit. Council is currently considering revisions in the Type A family. ;fir. Ahlberg said that currently the enforcement of violations of the Zoning Ordinance under the family definitions is being done on a complaint basis only. Such complaints are usually made about more than 3 unrelated individuals living in a dwelling. Mr. Ahlberg provided information about how the FHAA is now directing that populations with special needs who live in a group can be considered a family. He also said that the Supreme Court's Belletire case upheld allowing 5 individuals with developmental disabilities to live together as a family unit. After discussion of the issues about definition of family and of the special use process for group homes, the MHB decided to wait for the City's legal opinion regarding the FHAA before taking any action. They asked staff to draft a letter for their review about the Board's concerns if a legal opinion were delivered before the next meeting. The Board thanked Mr. Ahlberg for his cogent presentation about the issues, and his explanation of the Zoning Ordinance. They also thanked Ms. Fox for the survey of definitions of family and of ordinances from other comparable communities. Notes of June 8, 1989 Mental Health Board Meeting PAGE -4- VII. LONG TERM CARE UPDATE Long Term Care Ordinance. Ms. Hones reported that Part I of the ordinance revisions would be discussed at the Council meeeting on Monday, June 12. She said that Ann Graff had testified in Council on the night of the introduction of the revisions. It appears that all of the outstanding issues have been resolved, -� and that the revisions will be passed. Ms. Henes emphasized that this was only the first step and that work would begin on Part II for Staffing and Program Standards. Ms. Fox said that she hoped that Part II will be ready for review by the end of July. Long Term Care Issues. Ms. Fox reported that the administrator at Albany House was resigning. She said that this left no one who had experience with individuals with mental illness in a decision making role, either from the receivers or among the administrators, at that facility. Ms. Hones moved and Ms. Nelson seconded a motion to send a letter to the judge who appointed the receivers requesting that he either appoint an additional receiver, or insure that a consultant is hired, for the Albany House to provide experience and knowledge about mental illness. Motion passed unanimously (6-0). VIII. LEGISLATIVE ISSUES Mr. Saver reviewed the update report on legislation which is being monitored. IX. OKRA UPDATE Ms. Fox reported on progress in the development of the PAS Consortium for our region. She said that she and Mr. Saver had been working on the Executive Committee, and had been assisting in the arrangements for the ARR process for individuals in long term care facilities currently under the Court receivership. Ms. Fox said that she was working with advocacy groups to provide resident advocates for these individuals. They will help the residents to review the habilitation and service plans which are developed for them, and asisst them to make choices about service options. She indicated that she was also discussing with the Alliance for the Mentally IlliGC the development of an OBRA monitoring pro)ect, to troubleshoot problems for individuals going through the PAS Process. Mr. Saver reported that he will be coordinating a Residential Work Group for the Consortium. Its role will be to initiate a planning and coordination process for the expansion of residential alternatives and/or the development of CILA's for those individuals who go through the PAS or ARR processes. J. dotes of June 8, 1989 Mental Health Board Meeting PAGE -5-- Mr. Greenspan moved and Mr. Diers seconded a motion to adjourn. Motion passed unanimously (6-0). The meeting as adjourned at 9:00 P.M. Respectfully submitted, Jeanne M. Fox Dotes of June 8, 1989 Mental Health Board Meeting PAGE -6- EVANSTON MENTAL HEALTH BOARD DECISIONS OF MEETING JUNE 8, 1989 1. Officers were elected for the period ,July 1, 1989 - June 30, 1990. -They are: Ann Graff, Chairperson;_Jack Lynch, vice Chairperson. 2. The Mental Health Board Bylaws, Article IV, Membership, Section 2, Qualification of Members, Part (b) was amended to read "...and Developmental Disabilities, the Illinois Department of Alcoholism and Substance Abuse, the Illinois Department of Children and Familv Services, or any agency...' (changes underlined). 3. The Mental Health Board Bylaws Article V, Section 2, Election of Officers was amended by deleting 'On or before July 1 of each year, the Board shall elect the Chairperson and Vice Chairperson,' and adding the following: (a) In April of each year the Chairperson shall appoint a Nominating Committee, with the approval of the Board, of at least two members to serve a term of one year. Current officers may not serve on the Nominating Committee. (b) The Nominating Committee shall prepare a slate of candidates for each office. The slate shall be presented at the May meeting. (c) Additional nominations may be made by any Board member at the June meeting, with the consent of the nominee prior to any vote. (d) Board members shall elect officers by voting upon the slate of candidates and any additional nominees at the June meeting. 4. The MHB agreed to send a letter to the judge who appointed the receivers at the Woodstock facilities requesting that he either appoint an additional receiver, or insure that a consultant is hired, for the Albany House to provide experience and knowledge about mental illness. EVANSTON MENTAL HEALTH BOARD MEETING MINUTES JULY 13, 1989 (Minutes recorded, not yet approved) Members Present: Presiding: Staff: Community Representatives: I. Call to Order Jack Lynch, Ann Graff, Ellen Browne, Benn Greenspan, Carol Hones, Alderman Gene Feldman, Art Diers Ann Graff, Chairperson Jeanne Fox, Harvey Saver Joel Asprooth (City Manager); C. Louise Brown (Evanston Health Department); Kathy Brenniman (Legal Department); Dr. Paul Revenne, Russ Barta, Jane Volberding (Commission on Aging) Ms. Graff called the meeting to order at 7:05 p.m. II. Closed Session Alderman Feldman moved and Ms. Browne seconded a motion to go into closed session to discuss pending litigation. Passed unanimously (6-0). "fhe Mental Health Board (MHB) convened in closed session at 7:08 p.m. (Art Diers joined the MHB at 7:17 p.m.) The MHB convened in public session at 8:10 p.m. III. Minutes of June 8, 1989 Meeting Ms. Hones moved and Mr. Lynch seconded a motion to approve the minutes of June 8, 1989 as presented. Motion passed unanimously (7-0). IV. Long Term Care Issues Update Joel Asprooth, City Manager, reviewed his July 8, 1989 memo to the MHB. He discussed the City staffs plans for implementation, the first set of amendments to the Long Term Care Ordinance (LTCO), and noted the time it would take staff to develop the forms and procedures to implement the revised Ordinance. These must be completed before the all day training session can be held on July 31, 1989, on the revised Ordinance which is planned. Mr. Asprooth also said that it would be DRAFT necessary to adjust the timetables for completing the second set of amendments to the LTCO. The reasons are (1) the amount of staff time required to develop of forms, training and administrative guidelines to monitor new revisions to the LTCO; (2) the need to aggressively monitor the facilities under receivership; and, (3) the need to understand the practical impact of changes resulting from the the implementation of the Omnibus Reconciliation Act of 1987 (OBRA). Mr. Asprooth emphasized the need to become consistent with imminent Federal and State regulatory changes in programming and staff. Staff will develop a time table for the second set of revisions after more information is available about guidlelines and standards for the implementation of the OBRA. This should be available about October 1, 1989. Ms. Brown indicated that internal vacancies have affected the Health Department's ability to spend more time on issues related to long term care monitoring. However as of 8/7/89 the Long Term Care Division will be fully staffed. Also, a new Division Chief for Long Term Care will start on that date. This individual has worked as a surveyor with the Illinois Department of Public Health, as a nurse consultant. She also has experience working with children with developmental disabilities. Ms. Brown also reported that the individual who had been running the Long Term Care Division would be leaving the Department. V. FY90-91 Mental Health Center Budget Mr. Saver reviewed the packet about the FY90-91 Mental Health Center (MHC) budget. The MHB supported the need for an office computer and for additional secretarial support for the office. Mr. Greenspan moved and Mr. Diers seconded a motion to include in the FY90-91 MHB Budget of an additional, full-time secretarial position (.5 FTF in the MHB Budget) to be shared with the Commission on Aging. The motion passed unanimously (7-0). Mr. Greenspan moved and Mr. biers seconded a motion to utilize Option 2 to prorate the increase for the MHB Budget to both Purchased Services and the mental Health Center. Motion passed unanimously (7-0). Mr. Greenspan moved and Mr. Diers seconded a motion to authorize the MHB Executive Committee to work with staff to develop and recommend a line item budget for the Mental Health Center for consideration at the September meeting. Motion passed unanimously (7-0). VII. OBRA Issues Ms. Fox reported on the Preferred Provider Ogranization -3- Agreement (PPO) which Illinois Department of Mental health and Developmental Disabilities (DMHDD) is attempting to develop with community agencies. She indicated that Evanston agencies have still not agreed to sign the new document until they have a community response. Mr. Saver indicated that DMHDD was revising the "no -decline" for provision. He said that they were also considering ways to address the concerns raised by provider organizations. Ms Hones moved and Mr. Lynch seconded a motion to endorse the Community Planning Assumptions. Motion passed unanimously (7-0). Ms. Fox discussed DMHDD's new guidelines and licensing standards for the implementation of Community Integrated Living Arrangements (CILA). She reported that this was the primary way that Illinois planned on complying with OBRA for DD and MI individuals. Ms. Fox said that the safety and programming standards were similar to those in Evanston's Group and Residential Care Ordinances. She highlighted several issues from her July 7th memo to the MHB related to the DMHDD geographic locations requirements review of CILAs. Ms. Greenspan moved and Ms. Browne seconded a motion to develop local criteria, standards and a statement of principles for small community housing for individuals with MI or DD to be developed in Evanston. Motion passed unanimously (7-0). Ms. Fox reported that DMH is introducing new standards for Community Continuous Treatment Teams. She said that the Evanston Network is beginning to work out the components of a local system to implement this. VII. Unified Budgeting Process (UBP) Ms. Browne reported on the Agency Kickoff for UBP. She complimented Ms. Fox on her training about developing performance outcome objectives. Ms. Henes provided an update on the work of the UBP Task Force. She indicated that the UBP orientation will include an overview on community service information. The MHB reviewed and approved the schedule for its regular and committee meetings for the purchased service allocation process. Because of a conflict with the UBP Orientation, the September MHB meetinq was changed to Wednesday, September 13th at 7:30 p.m. VIII.Legislative Update Mr. Saver reviewed the update on legislation. He indicated that there had been some significant increases in DMHDD's community budget, but that the Governor had not yet signed any appropriations. IX. Updates Mr. Saver reported that Glenbrook Hospital has recently ;�a r —4— closed its Adolescent Treatment Unit, reducing both outpatient treatment services and inpatient beds available for substance abuse treatment for adolescents in Evanston. Mr. Lynch moved and Mr. Browne seconded a motion to adjourn the meeting. Motion passed unanimously (7--0). Meeting adjourned at 9:20 p.m. Respectfully submitted, Jeanne M. Fox Executive Director MHB: 1 /#16 DRAFT EVANSTON MENTAL HEALTH BOARD DECISIONS OF MEETING JULY 131 1989 1. The MHB went into closed session to discuss pending litigation. 2. The minutes of the June 8, 1989 meeting were approved as presented. 3. The MHB approved including in the FY90-91 MHB Budget of an additional full-time secretarial position (.5 FTE in the MHB Budget) to be shared with the Commission on Aging. 4. The MHB approved the use of Option 2 for the initial FY90-91 Mental Health Center Budget, which prorates the increase for the MHB Budget to Purchased Services and to the Mental Health Center. 5. The MHB authorized the Executive Committee to work with staff to devlop and recommend a line item budget for the Mental Health Center for consideration at the September meeting. 6. The MHB endorsed the Community Planning Assumptions. 7. The MHB agreed to develop local criteria, standards and a statement of principles for small community homes for individuals with MI or DD to be developed in Evanston. MHB:1/#16 EVANSTON MENTAL HEALTH BOARD MEETING MINUTES WEDNESDAY, SEPTEMBER 13, 1989 (Minutes approved) Members Present: Bonn Greenspan, Art viers, Ellen Browne, Ann Graff, Jack Lynch, Carol Hanes, Marcia Nelson, Alderman Gene Feldman Presiding: Ann Graff, Chairman Staff: Jeanne Fox, Harvey Saver Community Representatives: Jay Terry (Health and Human Services), Joanne Hartford (Mental Health Association of Evanston) I. Call to Order Ms. Graff called the meeting to order at 7:35 p.m. II. Introduction and Community Comments Ms. Fox welcomed and introduced Jay Terry, new Director of Health and Human Services. Joanne Hartford encouraged the group to purchase the Mental Health Association of Evanston's new coupon books. III. Minutes of July 13, 1989 Meeting Ms. Browne moved and Alderman Feldman seconded a notion to approve the minutes of July 13, 1989 as corrected. Motion passed unanimously (8-0). Alderman Feldman moved and Mr. Browne seconded a notion to go into closed session to discuss pending litigation. Motion passed unanimously (8-0). The Mental Health Board (MHB) convened in closed session at 7:40 p.m. The MHB convened in public session at 7:47 p.m. IV. Mental Health Center Budget Mr. Lynch moved and Ms. Browne seconded a notion to approve the submission of the proposed FYSO-91 Mental Health Center budget of $126,268 as presented, and $437,763 for purchased services. Motion passed unanimously (8-0). 1 Mr. Lynch moved and Ms. Browne seconded a motion to approve the submission of a supplemental FY/94-91 MHB budget request for a new .S FTE secretarial position at a cost of $9,865. Motion passed unanimously (8-0). The MHB discussed staff recommendations for guidelines for budget options in the event that program cutbacks become necessary. In a consensus decision, the MHB agreed to the staff recommendations for budget options. V. Mental Health Board Objectives. Ms. Fox discussed estimates of time and projected priorities for proposed FY/90-91 MHB Objectives. She indicated that it would take 3.4 FTE in order to accomplish all of the proposed objectives. Ms. Henes complimented the staff on the accomplishments reported in the six month report on FY/89--90 Objectives. Ms. Nelson discussed needs assessment as an MHB Objective. She said that it was difficult to make funding recommendations without knowing the actual needs of the community. Alderman Feldman said that it might be more profitable for the MHB not to undertake a needs assessment alone. He recommended that, instead, the MHB take a lead role in defining the concept and bringing it to the Human Services Committee as something definable for a City-wide plan for human services for the City, Township and MHB. Ms. Nelson moved and Mr. Lynch seconded a motion to revise Objective f2/Planning to read, 'By February 28, 1991, to have developed a series of recommendations to define the plan for implementing a needs assessment process for the MHB's target populations,' with a rank of important. Motion passed 7-1 (Henes). Ms. Fox indicated that Objective 03/Planning was a new objective and was the basis for the organization of E-CATS. Mr. Diers moved and Alderman Feldman seconded a motion to accept the objective as revised to read '...the need for exanded out -patient counseling services for Evanston children...' with a rank of Important. Motion passed 5-3 (Lynch, Nelson, Browne). Mr. Lynch moved and Ms. Nelson seconded a motion to accept the new Objective *2/Promoting Systems Improvement as revised to read '...on community services and recommend appropriate actions in response` with a rank of Important. Motion passed unanimously (8-0). ti -3- Mr. Lynch moved and Ms. Nelson seconded a notion to adopt the proposed FYSG-91 Mental Health Board Objectives as revised. Motion passed unanimously (8-0). VII. Recognition Mr. Lynch read the following testimonial: 'Tonight before we dive into the Unified Budgeting Process and change our focus to purchased services, we need to pause to reflect where we have been and what we have accomplished. In November 1988, a resident of Albany House was found dead in the alley by Benn Greenspan's house. Numerous reports had also been received by the Board regarding the lack of adequate care again for the developmentally disabled persons at the Saratoga. After talking with other City departments regarding the barriers to ensuring quality care to the Mental Health Board's target population in Long Term Care facilities, it was agreed that amendments to the Evanston Long Term Care Ordinance needed to be made. A Long Term Care Committee with with four very dedicated members was formed. They were: Ann Graff, Marcia Nelson, Bonn Greenspan and Carol Hones. These Board members met 2 hours weekly for several months and bi-monthly for over a year, reading, preparing and studying a great deal of material in preparation for the meetings. This effort with other groups resulted in the passage of the first set of amendments the Long Evanston Term Care Ordinance which were passed by City Council on June 12, 1989, with the help of our Alderman Gene Feldman. We have more to do, but the performance outcome or product of the committment of these four dedicated Board members and our Alderman on behalf of the Mental Health Board's target populations should be recognized. Therefore, on behalf of the Board the following token (a glass paper weight) is presented to you to say thanks for a job well done and to urge you forward in your task. We stand ready to support your efforts to ensure quality care for residents of Long Term Care facilities serving our target populations.' VII. Personnel Committee Report Ms. Browne reviewed with the Board the Personnel Committee's proposed steps for the Mental Health Board's evaluation process of the Executive Director and the format for developing mutually agreed upon yearly objectives. 40 -4- Alderman Feldman, a member of the Personnel Committee, recommended that the Board do an evaluation of the Executive Director for the months of October 1989 - January 1990 to pilot the new process. Mr. Lynch moved and Mr. Greenspan seconded a motion to adopt the Personnel Committee's recommendations and to include a 6 month evaluation/mid-year review of the Executive Director. Motion passed (8-0). The Personnel Committee will meet with Ms. Fox to develop the objectives. These objectives and the steps and format as amended will be disccussed in Executive Session at the October Mental Health Board meeting. VIII. Unified Budgeting Process (UBP) Mr. Saver discussed the information and materials about the UBP Process. He reviewed the MHB assignments for UBP hearings, and explained the process for the completion of the Board's Program Assessment rating forms. IX. Implementation of OBRA Ms. Fox reviewed the meeting she had convened between MI providers and Collette Croze, Deputy Director of DMHDD, where local issues with the implementation of OBRA were discussed. She indicated that there were a number of disagreements and that the community had a different perspective than DMHDD's about the initial implementation of the State's plans. A meeting will be held with Representative Bowman and Senator Berman to discuss local concerns. Ms. Fox reported that DMHDD had awarded a startup grant to HOME, Inc., to hire staff for the organization, and to initiate a planning process for housing for individuals with mental health problems. They have not yet received the award letter specifying the requirements for the grant. Community Alternaties Unlimited (CAU) received an award letter from DMHDD. It was for 50% of the proposed budget; how- ever, DMHDD will still require the same services to be performed. Ms. Fox presented a proposed Memorandum of Agreement between the MHB and CAU for the North by Northwest PAS Consortium. She said that it would be reviewed by the Legal Department. Ms. Hones proved and Mr. Lynch seconded a motion to accept the Memorandum of Agreement as amended, pending Legal Deparatment's review. Motion passed unanimously (8-0). Meeting adjourned at 10:10 p.m. M H8:2/=32 Jeanne 14. Fo)l iJ EVANSTON MENTAL HEALTH BOARD DECISIONS OF MEETING SEPTEMBER 13, 1989 1. The proposed FY90-91 Mental Health Center budget of $126,268 and $437,763 for purchased services was adopted. 2. A supplemental FY90-91 MHB budget request for a new .5 FTE secretarial position at a cost of $9,865 was adopted for submission. 3. In a consensus decision, staff recommendations for possible budget options, if needed, were adopted. 4. The FY90-91 MHB Objectives, as revised, were adopted. 5. The Personnel Committee's proposed process and forms for a Performance Appraisal of the Executive Director were accepted as revised. The Board agreed to do a pilot of the Evaluation process for the period October 1989 - January 1990. 6. The Board approved a Memorandum of Agreement with Community Alternatives, Unlimited for the activities with the PAS North by Northwest Consortium. MHB:2/#32 EVANSTON MENTAL HEALTH BOARD MEETING MINUTES October 10, 1989 (Minutes Approved) Present: Art Diers, Ann Graff, Jack Lynch, Florence Winfield, Marcia Nelson, Carol Hones Presiding: Ann Graff, Chairperson Staff: Jeanne Fox, Harvey Saver, Suzanne Tarlov, Georgia Tsagalas I. Call to Order Ms. Graff called the meeting to order at 7:00 p.m. Mr. Lynch moved and Ms. Hones seconded a motion to convene in Executive Session to discuss a personnel issue and pending litigation. Motion passed (6-0). The Mental Health Board (MHB) convened in Executive Session at 7:02 p.m. The MHB convened in Open Session at 7:55 p.m. (Harvey Saver, Georgia Tsagalas and Suzanne Tarlov joined the meeting at 7:55 p.m.) II. Board Member Recognition Ms. Graff read the following testimonial: "Tonight we want to recognize the tenure of Bonn Greenspan who has resigned from the MHB in order to pursue a Doctorate in Public Health. 'Bonn was a member of the MHB since May, 1987. As a resident of the community adjacent to Albany House (Bidgeview), he was very concerned about the needs of residents of long term care facilities (LTC). As a Board member he urged the MHB to take an active role in improving the quality of care for persons with mental illness and developmental disabilities in Evanston's LTC facilities. He became a member of the MHB's Long Term Care Committee. Their work resulted in amendments to the Evanston Long Term Care Ordinance which was passed by City Council on June 12th, 1989. Benn was also a member of the MHB's Personnel Committee. 'Bann had the ability to facilitate the Board's understanding of complex issues. He was an effective leader while also being a team player. His integrity, sensitivity, dedication to individual rights and his knowledge of systems assisted the Board in making many decisions. -z- •Bann - thank you for your time and committment to our endeavors. We will miss you. Join us again at any time - with or without your beard." III. Budget Hearings (Working Notes for these proceedings are available by calling the Mental Health Board.) i. Early Childhood Development Center ii. Mental Health Association of Evanston Mr. Diers moved and Ms. Hanes seconded a motion to write a letter to Children's Home and Aid Society of Illinois (CHASI) to express support for Early Childhood Development Center (ECDC) and to urge CHASI's continued support for ECDC. Mr. Lynch amended the motion to include a request that CHASI explore the development of a board structure and other organizational issues to enable ECDC to directly seek funding from United Way of Evanston and other funders. The amendment was accepted. Motion passed (6-0). IV. Funding Guidelines Mr. Saver reviewed the changes and additions in programs requesting funds from the MHB, and discussed the need to revise the Service Area/Mandated Population designations in the FY90-91 Funding Guidelines. Ms. Henes moved and Mr. Diers seconded a notion to include the following additions/corrections in the FYSO-91 Funding Guidelines: Proqram ACORN/Comp.Case Management Family Focus/Our Place/Comp.Case Management Family Focus/OurPlace/Community and Neighborhood Center Services St.Francis ACGC/Adult and Child - Adolescent Outpatient Counseling St.Francis ACGC/Psychiatric Care -DO SA/MP Desiqnation Case Management/MI Counseling/MR Day Treatment/HR Counseling/HR Counseling/DD Motion passed (6-0). V. Implementation of PASARR Process Ms. Fox reported that the Annual Resident Review (ARR) -3- process had been completed for all of the residents at Saratoga and Albany House; Community Alternatives met the deadline of September 30 for completion of the assessments. Illinois Department of Mental Health and Developmental Disabilities (DMHDD) had asked that service plans be developed and choices offered to the involved individuals within 2 weeks. Ms. Fox indicated that this was creating quite a bit of confusion for the residents and their guardians. She will meet with MI advocacy groups in an emergency meeting with DMHDD to put a stop to these efforts until major issues can be resolved. Ms. Fox said that several problems were beginning to emerge with PASARR and CILA. The funds have not yet begun to flow to preferred providers, so that individuals who have been screened are waiting to have services provided. In some cases, the program dollars are not following individuals for CILA slots when they move from one agency to another. Advocacy groups will be writing letters in a concerted effort to try to get a response to the identified problems. Ms. Fox also said that the North by Northwest PAS Consortium will try to modify the agreement with DMHDD in order to perform fewer functions because only 50% of the proposed budget had been provided. VI. Informational Items The MHB discussed the need for and agreed to develop standards and criteria for local review and comment of CILA proposals. Ms. Graff appointed a committee of Ms. Nelson, Ms. Hanes and Mr. Lynch to develop the philosophy and criteria for these new housing alternatives in Evanston. The meeting was adjourned at 9:25 p.m. 9jea'nneM. Fox' MHB : 2 / #52 EVANSTON MENTAL HEALTH BOARD DECISIONS OF MEETING October 10, 1989 1. The MHB agreed to send a letter to Children's Home and Aid Society of Illinois (CHASI) to express support for Early Childhood Development Center (ECDC); to urge continued support for ECDC; and, to request CHASI to explore the development of a board structure and other organizational issues to enable ECDC to directly seek funding from United Way and other funders. 2. The Board approved the following additions/corrections in the Service Area/Mandated Population (SA/MP) designations of the FYSO-91 Funding Guidelines. Proqrams SA/MP Desiqnation ACORN/Comp. Case Management Family Focus/Our Place/Comp. Case Management Family Focus/Our Place/Community and Neighborhood Center Services St.Francis ACGC/Adult and Child - Adolescent Outpatient Counseling St.Francis ACGC/Psychiatric Care-DD MHB:2/*52 Case Management/MI Counseling/HR Day Treatment/HR Counseling/HR Counseling/DD EVANSTON MENTAL HEALTH BOARD MEETING MINUTES TUESDAY, OCTOBER 31, 1989 (Minutes recorded - not yet approved) Members Present: Presiding: Staff : Community Representatives: I. Call to Order Jack Lynch, Florence Winfield, Marcia Nelson, Ellen Browne, Carol Henes, Art Diers, Alderman Gene Feldman Jack Lynch, Vice Chairman Jeanne Fox, Harvey Saver, Georgia Tsagalas Kate Mahoney (PEER Services), John Buckley (Family Counseling Services), Jim Stavish (NTSW/First Step) Mr. Lynch called the meeting to order at 7:30 p.m. II. Introduction and Community Coments Representatives of community agencies in attendance were introduced. III. Minutes of September 13 and October 10, 1989 Ms. Browne moved and Alderman Feldman seconded a motion to approve the minutes of September 13, 1989. Motion passed unanimously (7-0). Alderman Feldman moved and Ms. Nelson seconded a motion to approve the minutes of October 10, 1989. Motion passed unanimously (7-0). IV. Funding Allocations for FY 90-91 Mr. Lynch reviewed the Funding Guidelines Committee's process to develop FY 90-91 allocation recommendations in its October 27 meeting. He explained that the Committee considered both the evaluation of the agency request utilizing the MHB's Funding Guidelines and the straw poll developed by the Unified Budget Panel at the October 26 meeting. In addition, the following issues were considered in making allocations: > Because of limited new funds, maintenance of funding is a vote of confidence -For the agency/program; > Small funding allocations ($5,000 or less) to programs -2- should be maintained because funding is used by the agencies as evidence of community support when they request monies from other sources. This also enables the MHB to include the agency/program in network meet- ings and by contract ensures services for Evanston residents; > Agencies funded by Illinois Department of Mental Health and Developmental Disabilities are receiving a 596 cost of living increase and a 2.5% increase for salaries in 1989- 90; and > Some agency/programs have the potential for receiving monies from other sources. Mr. Lynch reviewed the individual program allocations and the Committee's comments and rationale. He explained that with an increase of only an additional $8100 to allocate to purchased services, the MHB allocated increases to emphasize the following: > Intervention with families with young children. The Early Childhood Development Center will receive an increase of S2000 for individual and family counseling with 0-8 year olds and their families. Community Coordinated Child Care will receive an increase of $2000 to provide monies for the community match and to provide additional social work service for Teen Baby Nursery. > Recognition of programs with good outcome measures and demonstrated results. Niles Township Sheltered Workshop's First Step program will receive an increase of $1000. 5 Support of specialized services to developmentally disabled and mentally ill persons. As stated, First Step program will receive a S1000 increase and SHORE's day treatment and residential programs will receive an increase of $3100. Ms. Fox provided the following update from her follow-up on issues raised by the Funding Guidelines Committee: > 4C's is not prepared to sub -contract for social work services with another agency, but is willing to provide additional social work time for Teen Baby Nursery (TBN). The MHB Funding Guidelines Committee had expressed its concern about the need for additional clinical supervision for 4C's social work component and indicated that they would like to see it provided by Early Childhood Development Center (ECDC). This will be discussed with 4C's prior to the signing of a contract. > CHASI has agreed to explore issues related to restructuring ECDC so that it will be able to do local fundraising. They indicated -3- that they would be willing to work with the MHB on this. ECDC has also indicated that they would be willing to consider undertaking an additional role with TSN. In the event that this is not possible, they have guaranteed that any increase is their MHB funding will be used specifically for Evanston residents and will increase services for Evanston residents. Ms. Fox highlighted the correspondence from Leslie Kaplan which indicated that Crisis Intervention was successful in obtaining access to and will train staff for use of a TDD for phone counseling for persons who are hearing impaired. They will begin to advertise this as an additional service which is available. Mr. Diers moved and Ms. Browne seconded a motion to thank Evanston Hospital for its prompt and positive response to UBP's recommendation to provide TDD services through Crisis Intervention for individuals who have hearing impairments. Motion passed unanimously (7-0). After a discussion of each agency, Ms. Browne moved and Ms. Nelson seconded a motion to accept the Funding Guidelines Committee's recommendations for FY 90-91 Purchased Service Allocations. Motion passed unanimously (7-0). (The funding recommendation guidelines are available upon request.) A list of issues raised by the Funding Guidelines Committee were presented to the Board. These issues were adopted by consensus with direction to staff to have the list ready for presentation to the UBP Panel on November 4, 1989. The issues were: 1. How are agencies working with families, supporting families and helping parents to be better parents? Are the efforts effective? 2. How are prevention programs or treatment programs actually working? 3. How many agencies are funded to provide case management services? Is there duplication of effort? We need to explore with the providers and the UBP Panel the need for free-standing case management services (e.g., one for families and one for mental disabilities). We need to develop a community definition for case management and the expectations of case managers. If a family is having contact with more than one social worker or agency, who is responsible for coordination of serices to that family? 4. How to develop a mechanism, or special funding, to respond to special concerns, priorities or emerging needs. -4- 5. How to follow up on outcomes projected by agencies in their proposed objectives this year. We will continue to encourage agencies to focus upon measurable outcomes for their programs. 6. How to encourage the MHB funded programs through its contracts to be responsive to the Youth Advocacy Program. 7. How to work toward the inclusion of other communities in planning responses to critical human service issues which cut across municipal boundaries. V. FY 90-91 Objectives In response to an earlier request from the MHB, Ms. Fox reviewed recommendations for a new goal and objectives for FY 90-91 to focus on substance abuse. Alderman Feldman moved and Dr. Winfield seconded a motion to adopt the following goal under Planning for FY 90-91: By July, 1990, to assess substance abuse treatment services for Evanston adolescents and identify gaps in type and amount of treatment services needed for Evanston substance abusers. Motion passed unanimously (7-0). VI. League of Women Voters/Illinois (LWV) Mental Health Position Statement Ms. Fox discussed the LWV's Mental Health Position Statement. She indicated that the MHB had been invited to join in the efforts outlined in the LWV's Action Priority Sheet to focus upon public awareness and housing issues for persons with mental illness. Alderman Feldman moved and Ms. Browno seconded a motion to direct staff to work with the LWV on its mental health consensus priorities. Motion passed unanimously (7-0). VII. Informational Items Mr. Saver reported on P.A. 86-788, effective January 1, 1990, which will require school districts to provide to all grades K-8 instruction and discussion about prevention and avoidance of substance abuse. Ms. Browne moved and Alderman Feldman seconded a motion to direct staff to send information on behalf of the MHB to the newly elected Board members of School District #65 about Public Act 86-788, and to express its concerns that the School Board aggressively pursue the mandate for instruction, study and discussion of effective methods for the prevention and avoidance of drug and substance abuse in all grades of School District l65. Motion passed unanimously (7-0). -5- Ms. Fox reported that Ms. Browne had done an excellent job presenting the MHB's concerns and agenda in testimony at the Mayor's Community Forum on October 28. Mr. Lynch complimented the MHB on its involvement and time committed to the UBP Process. Alderman Feldman said the MHB had provided good comments and questions, and provided a positive influence on, and strong leadership for, the UBP Process. Ms. Fox reported that she would be conducting stuctured interviews about needs assessment with the MHB to help assess the needs assessment process. Meeting adjourned at 8:50 p.m. Respectfully submitted, Jeanie M. Fox MHB: 4/#11 EVANSTON MENTAL HEALTH BOARD MEETING MINUTES SATURDAY, NOVEMBER 4, 1989 (Minutes recorded - not yet approved) Members Present: Ann Graff, Alderman Gene Feldman, Florence Winfield, Ellen Browne, Carol Henes, Art Diers, Marcia Nelson Presiding: Ann Graff Staff: Jeanne Fox, Harvey Saver, Georgia Tsagalas I. Call to Order Ms. Graff called the meeting to order at 12:35 p.m. immediately after the Unified Budgeting Panel meeting at which Board members were present for discussion of recommended allocations for agencies. II. Mental Health Board Budget Ms. Henes and Ms. Nelson seconded a motion to accept the recommended allocation of $379,253 of the Unified Budgeting Panel for funding of agencies by the Mental Health Board. (These recommendations were the same as voted on by the Mental Health Board at its October 31, 1989 meeting.) The motion passed unanimously (7-0) . Ms. Browne moved with a second by Alderman Feldman to propose a total of $437,763 be allocated for Purchased Services. The motion passed unanimously (7-0). Alderman Feldman moved with a second by Art Diers to present to the Human Services Committee a total Mental Health Budget of $564,021 with $126,268 allocated for the Mental Health Center budget. The motion passed unanimously (7-0). Ms. Graff thanked the staff for all their excellent work throughout the USP Process. Ms. Graff reminded Board members of the Mental Health Board budget hearing with the Human Services Committee on November 13, 1989. Meeting adjourned at 12:45 p.m. Respectfully submitted, Jeanne M. Fox 10 MINUTES THE MAYOR'S SPECIAL COMMITTEE ON PARKING .TUNE 8, 1989 PRESENT: Alderman Ann Rainey, Mark Rivette, Joan Sable, David Jennings, Alderman John Rudy, Chairman and Secretary Pro Tem ABSENT: Ira Golan, Harvey Pranian, David Reynolds, Alex Sproul, Nissan Vexler, David Barber 1. The Committee reviewed the status of the recommendations the Committee made in their report to the Mayor and the City Council and evaluated how well the actions taken by the Council on those recommendations have worked, as follows: a) David Jennings reported that the program of shared parking which issues both daytime and nighttime permits for the same parking lot made available 11 permits to the daytime parkers. There were initially 6 people who purchased daytime permits at $10.00 per month. There are now G persons who have permits for daytime parking in these lots. The Committee discussed whether the competition with free street parking, the hours during the day the parking is available, or some other reason was causing the lack of interest. Lack of available data prevent the Committee from knowing the reason why. The Committee asked David Jennings to extend the hours available to the daytime parkers and to re-advertis the availablity of the permits to see if a better response was possible. b) The revised street -sweeping plan which was implemented in southeast Evanston so no more than 20% of the street parking is lost on any given day when the street sweeping occurs has worked very well. This approach has now been used effectively in other parts of Evanston. c) The enforcement of meter feeding prohibition has increased, but the problem of meter feeding continues to be one of the City's parking problems. The Committee believes the enforcement needs to be increased and this will be an item on one of our future agendas. 2) David Jennings reported to the Committee regarding his meeting with the Chamber of Commerce's sub -committee on parking. On of the things their committee discussed with him was the feasibility of elimenating the parking meters in the City's retail areas. Mr. Morton Johnson, chairman of that committee ,reported in that meeting that none of the communities up the North Shore have parking meters, that the parking is free to the retail customers. Evanstons approach of charging the customer for the parking throught the use of the parking meter is a turn off to the customers in comparison with Old Orchard and the other North Shore communities. The Committee recognized that the revenue from this parking Was an important part of the income used for the payment of the new parking garage at Church and Chicago as Well as the meters were the mechanism used to turn over the short term parking primarily used for the retail customer. The Committee at this time and absent a detailed proposal was unanimously opposed to the elimination of the parking meters. 3) The Committee discussed breifly, the favorite sites for additional parking of the individual members and also the Parking Needs Assessment Study. Both items will be on the Committee's future agenda. 4) The Committee set the date, time, and place of its next meeting to be on July 13, from 6:00 pm to 7:30 pm, at the Civic Center, in the Planning and Development Committee's meeting room, No. 2403. 5) The meeting adjourned at 7:30 pm. PH,"II��I